Mappings for the StructureDefinition-us-core-documentreference Profile.
| US Core DocumentReference Profile |
| DocumentReference | Entity. Role, or Act |
| text | Act.text? |
| contained | N/A |
| extension | N/A |
| modifierExtension | N/A |
| masterIdentifier | .id |
| identifier | .id / .setId |
| status | interim: .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseDocument", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseDocument", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete" |
| docStatus | .statusCode |
| type | ./code |
| class | .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code |
| subject | .participation[typeCode="SBJ"].role[typeCode="PAT"] |
| created | .effectiveTime[type="TS"] |
| indexed | .availabilityTime[type="TS"] |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
| authenticator | .participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"] |
| custodian | .participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"] |
| relatesTo | .outboundRelationship |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| code | .outboundRelationship.typeCode |
| target | .target[classCode="DOC", moodCode="EVN"].id |
| description | .outboundRelationship[typeCode="SUBJ"].target.text |
| securityLabel | .confidentialityCode |
| content | document.text |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| attachment | document.text |
| id | n/a |
| extension | n/a |
| contentType | ./mediaType, ./charset |
| language | ./language |
| data | ./data |
| url | ./reference/literal |
| size | N/A (needs data type R3 proposal) |
| hash | .integrityCheck[parent::ED/integrityCheckAlgorithm="SHA-1"] |
| title | ./title/data |
| creation | N/A (needs data type R3 proposal) |
| format | document.text |
| context | outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT'] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| encounter | unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct]) |
| event | .code |
| period | .effectiveTime |
| facilityType | .participation[typeCode="LOC"].role[classCode="DSDLOC"].code |
| practiceSetting | .participation[typeCode="LOC"].role[classCode="DSDLOC"].code |
| sourcePatientInfo | .participation[typeCode="SBJ"].role[typeCode="PAT"] |
| related | ./outboundRelationship[typeCode="PERT" and isNormalActRelationship()] / target[isNormalAct] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| identifier | ./outboundRelationship[typeCode="PERT" and isNormalActRelationship()] / target[isNormalAct] .id |
| ref | ./outboundRelationship[typeCode="PERT" and isNormalActRelationship()] / target[isNormalAct].text.reference |
| US Core DocumentReference Profile |
| DocumentReference | |
| masterIdentifier | DocumentEntry.uniqueId |
| identifier | DocumentEntry.entryUUID |
| status | DocumentEntry status |
| type | DocumentEntry.type |
| class | DocumentEntry.class |
| subject | DocumentEntry.patientId |
| created | DocumentEntry.submissionTime |
| indexed | DocumentEntry.submissionTime |
| author | DocumentEntry.author |
| authenticator | DocumentEntry.legalAuthenticator |
| relatesTo | |
| code | DocumentEntry Associations type |
| target | DocumentEntry Associations reference |
| description | DocumentEntry.description |
| securityLabel | DocumentEntry.confidentialityCode |
| content | |
| attachment | DocumentEntry.mimeType DocumentEntry.languageCode DocumentEntry.URI DocumentEntry.size DocumentEntry.hash DocumentEntry.title |
| format | DocumentEntry.formatCode |
| context | |
| event | DocumentEntry.eventCodeList |
| period | DocumentEntry.serviceStartTime DocumentEntry.serviceStopTime |
| facilityType | DocumentEntry.healthcareFacilityTypeCode |
| practiceSetting | DocumentEntry.practiceSettingCode |
| sourcePatientInfo | DocumentEntry.sourcePatientInfo DocumentEntry.sourcePatientId |
| related | DocumentEntry.referenceIdList |